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How You Can Get Involved
We need volunteers, donors and other supporters to help us expand our services, advocacy, events and education in improving the quality of life for people with the sickle cell disease/trait.
Please fill out the following information form to be considered for Volunteer service at this foundation. The information obtained will help us ascertain how best we can assist them with their request and how best they can assist us as an agency.
Volunteer Information
First Name:
required
Last Name:
required
Address:
required
City:
required
State:
required
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Conneticut
DC - Washington, D.C.
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
VI - Virgin Islands
FM - Federated States of Micronesia
MH - Marshall Islands
PW - Palau
AA - America
AE - Europe
AP - Pacific
Zip:
required
Phone Number:
required
Email Address:
required
Would you be interested in learning about Community Voice programs?
required
Yes
No
Is this request court ordered?
required
Yes
No
Numner of hours requesting:
required
Date volunteer hours are needed by:
required
Use MM/DD/YYYY format.
Clients with court order request will need to submit the request at least (3) weeks prior to required completion date as deemed by the court in order for the agency to accommodate the request. Community Voice program only provides 10 hours of community service. The 10 hours associated with Community Voice program is not done at one time and the agency cannot guarantee there will be Community Voice series in session to meet the court request for the applicant.
If the client needs more than 10 hours, it will be, the responsibility of the applicant to secure the additional hours needed. In addition, if they wish to volunteer Sickle Cell Office, a background check is needed. The applicant would need to have a local background screening completed by PBSO.
If you have any questions regarding the contents in this email, please do not hesitate to call us at 561-833-3113 or email us at info@sicklecellpbc.org.
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Volunteer Intake Form PDF
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